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Louisiana Department of State Civil Service

CAU Eligibility Specialist

Louisiana Department of State Civil Service, Baton Rouge

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CAU Eligibility Specialist

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CAU Eligibility Specialist

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Salary

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Depends on Qualifications

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Location

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Baton Rouge, LA

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Job Type

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Unclassified

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Job Number

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R-001795

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Department

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University of New Orleans

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Opening Date

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08/01/2025

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    Description

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    Benefits

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Job Duties and Other Information

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Please click HERE ( to apply.

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    Timely complete appeal actions to re-open and/or close cases in accordance with appeal status. Take precautions to not re-notice appellants when taking these actions.

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    Process CAU reversals which will include clearing issues and discrepancies in LaMEDS to assist with the processing of applications and renewals.

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    Review data systems to determine what action needs to be performed. Maintain controls to ensure reversals are completed within required deadlines.

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    Document eligibility research electronically in the required Medicaid system applications.

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    Prepare eligibility decision notices by inputting required data into the corresponding Medicaid application systems, as necessary.

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    Maintain knowledge of Medicaid policies and procedures and ensure that any new changes, updates or clearances are applied accordingly.

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    Maintain knowledge and usage of all verification systems the agency has access to.

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    Interpret and apply complex federal, state, and agency policy. Employ rudimentary knowledge and terminology of legal, medical and business areas, including real estate and insurance.

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    Trend and analyze appeals data both regionally and statewide. Develop and produce reporting based on appeals data to influence training needs and decision making.

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    Attend and participate in required meetings and trainings.

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    Other tasks as directed.

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QUALIFICATIONS

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REQUIRED:

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    Bachelor’s degree or 6 years of professional experience in lieu of degree.

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    2 years of professional experience determining Medicaid eligibility.

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    Current working knowledge of the LaMEDS system.

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    Excellent analytical skills, effective organizational and time management skills.

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    Great attention to detail and follow up.

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    Excellent verbal and written communication skills.

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DESIRED:

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    Advanced degree.

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    Minimum 4 years of professional experience in determining Medicaid eligibility.

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    Minimum 2 years of professional experience working with Medicaid appeals process.

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    Advanced knowledge of the LaMEDS system.

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    Experience with data analysis and research.

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Benefits for unclassified employees are determined by the individual hiring authority.

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Employer

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State of Louisiana

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Address

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For agency contact information, please refer to

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the supplemental information above.

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Louisiana State Civil Service, Louisiana, 70802

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Phone

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(866) 783-5462

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Website

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